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Third Party Reviewer jobs

Viewing 1 - 10 of 1,041 jobs

  • Utilization Review Coordinator- PRN

    HCA Capital Division - Falls Church, VA

    the physician, treatment team, managed care case management reviewer, and other staff members of the facility. ... and results of the Utilization Review process for each third party payors in a timely manner based on UM service...

    22 days ago from HEALTHeCAREERS Network

  • Utilization Review Coordinator (PT/FT)

    Phoenix House - Arlington, VA

    concurrent clinical reviews with 3rd party payers as required to increase a client's length of ... abuse/mental health treatment setting?Experience with third party payer authorizationKNOWLEDGE AND...

    5 days ago from IHispano

  • Third-Party Content Reviewer TEMP, French Content

    LeapFrog - Emeryville, CA

    THIRD-PARTY CONTENT REVIEWER TEMP, FRENCH CONTENT Part-Time Sporadic Temporary Position Company Overview LeapFrog ... at www.leapfrog.com. Position Overview The Third-party Content Reviewer would report directly to a member of the...

    15 days ago from LeapFrog

  • Principal Associate Third Party Management

    Capital One - Plano, TX

    party relationships, a Principal Third Party Manager may be responsible for more than one third party. Principal ... requirements for all managed third party relationships - Plan and conduct periodic third party business reviews,...

    10 days ago from TAOnline

  • VP, Third Party Cross Platform Implementation, Managed Solutions Group

    Bank of America - Jersey City, NJ

    VP, Third Party Cross Platform Implementation, Managed Solutions Group - Jersey City, NJ Jersey City, NJ, United ... platforms including MSG Simplification and Third Party Strategy for the current business model as well as...

    22 days ago from Bank of America

  • Manager Third Party Management

    Capital One - Plano, TX

    of a hard-working team. A Manager, Third Party Management has specific third party relationship responsibilities based ... exists for all of their assigned third party relationships. A Manager, Third Party Management is expected to work in...

    10 days ago from TAOnline

  • Appeals Nurse Utilization Review

    Asante Health System - Grants Pass, OR

    fellow team members, nursing/physician/ancillary staff, third-party payors and patients/families. Requires analytical and investigative skills necessary to identify, define, and analyze issues, develop findings and conclusions, and make...

    8 days ago from Asante Health System

  • RN Clinical Nurse Reviewer Pt Access Mgmt HFBC PT PC2227

    Health First - Florida

    Submission for the position: RN Clinical Nurse Reviewer Pt Access Mgmt HFBC PT PC2227 - (Job Number: 015658) To be fully ... to hospital payments by Review Audit Contactors and other third parties as assigned. Appeal any denial of payment that...

    8 days ago from Health First

  • Coordinator / Utilization Review - Behavioral Health PT Days

    Carolinas Healthcare System - Charlotte, NC

    clinical information that meets expectations of third party payors; responsible for timely provision/flow of ... and Concurrent reviews and identifies potential third party denials. Works with multidisciplinary team to identify...

    10 days ago from Carolinas Healthcare System

  • Utilization Review RN, Utilization Mgmt, RPT, 3P-11:30P

    Baptist Health South Florida - Kendall, FL

    by hospital, The Joint Commission, government and third party payor. Facilitates the communications between insurance companies, review agencies and physicians regarding inpatient pre-authorizations and admission. To identify delays in...

    30+ days ago from Baptist Health South Florida

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